Implicit to any surgeon’s abdominal wall reconstruction (AWR) practice should be the review of results after operations have been performed. This allows surgeons to ensure they are delivering high-quality care to patients. In addition, systematic collection of data centered around AWR greatly facilitates research and postmarket surveillance of medical devices and techniques. Unfortunately, systematic data collection across hospitals is a very challenging endeavor, often made difficult by health care systems focused on maximizing volume rather than delivering appropriate, high-quality care in the long term. Nonetheless, it is imperative that all stakeholders involved in AWR help clinicians collect data during routine health care delivery to help patients’ quality of life.